This is a viral infection usually seen in children. The lesions on the eyelids are discrete, slightly raised and umbilicated and usually multiple. There are also likely to be lesions elsewhere on the body, especially the hands, and brothers or sisters might have the same problem. It is rare for the eye itself to be involved. In persistent cases, an effective form of treatment with children is careful curettage of each lesion under a general anaesthetic; in adults, cryotherapy is used for individual lesions, especially if they are adjacent to the lid margin with the propensity to cause conjunctivitis.
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